目的通过对65例妊娠期糖尿病(GDM)产妇的临床资料分析,评估GDM治疗对妊娠结局的影响。方法 65例GEM产妇中50例经产前糖尿病筛查发现并确诊并治疗,15例于生产时发现(即产前未治疗)。将65例GDM产妇分为两组:A组为经产前糖尿病筛查发现并确诊,血糖控制达理想水平者40例,B组为产前确诊但孕期血糖控制不理想者10例及未经治疗者15例,收集并比较分析2组孕产妇及围产儿并发症情况。结果 50例产前确诊并治疗的患病产妇中,40例(80%)血糖控制达理想水平。孕期血糖控制理想的GDM产妇妊高征、早产、剖宫产、新生儿低血糖、巨大儿,新生儿窒息、死胎的发生率均显著低于孕期血糖控制不理想及未治疗者的发生率(P<0.05)。结论孕期血糖控制可降低GDM孕产妇和围产儿并发症的发生率。 Objective To assess the effect of GDM treatment on pregnancy outcomes by analyzing the clinical data of 65 pregnant women with gestational diabetes mellitus (GDM). Methods Fifty-five cases of GEM women were identified and diagnosed by prenatal diabetes screening and 15 cases were found during production (ie, prenatal untreated). 65 cases of GDM mothers were divided into two groups: group A was found by prenatal diabetes screening and diagnosis, blood glucose control reached the ideal level in 40 cases, group B was prenatal diagnosis but during pregnancy glycemic control were not ideal in 10 cases and without 15 cases of treatment, collected and compared two groups of maternal and perinatal complications. Results Of 50 prenatal diagnosed and treated sick women, 40 (80%) achieved satisfactory glycemic control. Pregnancy glycemic control ideal GDM maternal pregnancy-induced hypertension, premature delivery, cesarean section, neonatal hypoglycemia, macrosomia, neonatal asphyxia, stillbirth were significantly lower than during pregnancy glycemic control is not ideal and the incidence of untreated P <0.05). Conclusion The glycemic control during pregnancy can reduce the incidence of GDM complications of maternal and perinatal complications.